INTERVENTION FOR COPING WITH AIDS RELATED BEREAVEMENT

描述（申请人摘要）： 与艾滋病有关的丧亲之痛的健康后果是众所周知的， 特别是对于那些本身就感染了艾滋病毒的人来说。 不过小 临床研究的注意力集中在满足心理需求的方法上 艾滋病毒抗体阳性者和试图科普失去亲人的人 爱艾滋病的人 该申请要求4年的支持， 实施和评价艾滋病相关丧亲认知应对， 行为技能团体干预对精神分裂症的二级预防 艾滋病毒感染者丧失亲人后健康状况恶化。 干预 模型结合了悲伤理论和压力认知理论的元素， 应对包括以下主要组成部分：1）社会发展 支持和团体凝聚力; 2）识别和表达情绪; 3） 确定艾滋病损失和艾滋病患者生活的具体应对困难 艾滋病毒感染; 4）确定目前的应对战略; 5） 目标设定; 6）实施适应性应对策略， 心理困扰 210名艾滋病毒感染者 经历与艾滋病有关的丧亲之痛和精神痛苦的人， 随机分配，并按精神病诊断和使用分层 精神药物，认知应对小组干预或 控制条件 在基线、干预后、 在4个月、8个月和12个月随访时，将用于确定 干预效果。 据推测，与艾滋病有关的 丧亲组干预条件将导致较轻的严重程度， 悲伤反应;减少精神痛苦，临床抑郁，焦虑， 和创伤压力;社会支持水平提高; 生活质量;减少药物使用;以及发展和执行 应对艾滋病毒感染和艾滋病相关丧亲的适应性方法。 如果成功的话，这项研究有望确定一种与艾滋病有关的 心理健康二级预防的丧亲干预模式 艾滋病毒感染者的疾病，这是迫切需要的， 为艾滋病毒感染者服务的组织和心理健康项目 感染

DESCRIPTION (Applicant's Abstract): The prevalence and adverse mental health consequences of AIDS-related bereavement are well-established, especially for those who are themselves HIV-infected. However, little clinical research attention has focused on ways to meet psychological needs of persons who are HIV positive and attempting to cope with the loss of loved ones to AIDS. This application requests 4 years of support to implement and evaluate an AIDS-related bereavement cognitive-coping and behavioral skills group intervention for the secondary prevention of mental health distress among bereaved people with HIV infection. The intervention model combines elements of grief theory and cognitive theories of stress and coping and includes the following key components: 1) development of social support and group cohesion; 2) identification and expression of emotions; 3) identification of coping difficulties specific to AIDS loss and living with HIV infection; 4) identification of current coping strategies; 5) goal-setting; and 6) implementation of adaptive coping strategies to reduce psychological distress. Two hundred ten HIV-infected men and women experiencing AIDS-related bereavement and psychiatric distress will be randomly assigned and stratified by psychiatric diagnoses and use of psychotropic medication, to the cognitive-coping group intervention or to a control condition. Assessments collected at baseline, at post-intervention, and at 4-, 8-, and 12-month followup points will be used to determine intervention outcome effects. It is hypothesized that the AIDS-related bereavement group intervention condition will result in less severity of grief reaction; reduced psychiatric distress, clinical depression, anxiety, and traumatic stress; increased levels of social support; higher ratings of quality-of-life; decreased substance use; and development and implementation of adaptive ways of coping with HIV infection and AIDS-related bereavement. If successful, this research is expected to identify an AIDS-related bereavement intervention model for the secondary prevention of mental health disorders among HIV-infected persons, which is urgently needed for organizations and mental health programs that serve people with HIV infection.